title: Community-acquired Legionnaires' disease following minimal exposure to a contaminated source.
abstract: A case of community-acquired Legionnaires' disease (LD) is described. The source of infection was traced to a push-on tap at the end of a long spur from the hot circulation system in a large old residential building which had been unoccupied for several weeks. Legionella pneumophila serogroup 1 subgroup Pontiac was isolated from the patient's sputum and from the contaminated water supply. Isolates were shown to be indistinguishable from one another when subtyped by pulsed field gel electrophoresis of chromosomal DNA.
authors.affiliation: Public Health Laboratory, West Dorset Hospital, Dorchester, UK.
authors.forename: A
authors.initials: A
authors.lastname: Rampling
authors.forename: C J
authors.initials: CJ
authors.lastname: Butt
authors.forename: A A
authors.initials: AA
authors.lastname: West
authors.forename: M
authors.initials: M
authors.lastname: Tully
authors.forename: K T
authors.initials: KT
authors.lastname: Palmer
mesh_terms: D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D017714:Community-Acquired Infections; D004359:Drug Therapy, Combination; D016521:Electrophoresis, Gel, Pulsed-Field; D004917:Erythromycin / Q000627:therapeutic use; D019084:Fluorescent Antibody Technique, Indirect; D006801:Humans; D016952:Legionella pneumophila / Q000145:classification / Q000302:isolation & purification*; D007877:Legionnaires' Disease / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D014871:Water Microbiology; D014881:Water Supply
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D010406:Penicillins; D004917:Erythromycin; D000667:Ampicillin; D002439:Cefotaxime; D012293:Rifampin